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Mylene Motomura

Physical Therapist in Kahului, HI. Individual provider (NPI-1).

NPI number1902328792
StatusActive
Last updated in NPPESSep 13, 2022

Details

NPI
1902328792
Entity type
Individual (NPI-1)
Name
Mylene Motomura
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 12, 2017
Certification date
Sep 13, 2022
Last updated
Sep 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist4384HIYes

Practice location

360 Hoohana St Ste A102
Kahului, HI 96732-2975

Phone 808-667-6161

Mailing address

114 Apuwai St
Haiku, HI 96708-4814

Phone 808-866-9138

Other practice locations

1043 Makawao Ave Ste 107
Makawao, HI 96768-9411

Phone 808-572-7790

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